keyword
https://read.qxmd.com/read/38531239/from-the-archives-of-md-anderson-cancer-center-mesothelial-monocytic-incidental-cardiac-excrescence-with-a-review-of-the-literature
#1
REVIEW
Jayati Mallick, Beenu Thakral, Qing Wei, L Jeffrey Medeiros
Mesothelial/monocytic incidental cardiac excrescence (MICE) is a rare benign lesion composed of monocytes and mesothelial cells that is most often encountered during cardiothoracic surgery. We describe a case in a 71-year-old man with known aortic valve stenosis who presented with gradual onset dyspnea over a few weeks, made worse with minimal exertion. A transesophageal echocardiogram revealed severe aortic stenosis and mild pericardial effusion. The patient underwent aortic valve replacement, coronary artery bypass, and amputation of the left atrial appendage...
March 20, 2024: Annals of Diagnostic Pathology
https://read.qxmd.com/read/38530245/totally-endoscopic-micro-invasive-aortic-valve-replacement
#2
Farhad Bakhtiary, Saad Salamate, Ali El-Sayed Ahmad
Micro-invasive totally endoscopic aortic valve replacement surgery is a minimally invasive cardiac procedure that can be performed with the help of several techniques and technologies that employ the latest innovations in instrumentation and technological advances in the field, thereby greatly limiting the overall invasiveness of the procedure. With the help of a 3-dimensional camera, long instruments, a very small thoracotomy and a soft-tissue retractor without any rib retractor, the aortic valve can be easily and safely accessed for replacement...
March 26, 2024: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://read.qxmd.com/read/38522866/left-ventricular-outflow-tract-obstruction-in-congenital-heart-disease-the-role-of-cardiovascular-computed-tomography-in-surgical-decision-making
#3
REVIEW
B Kelly Han, Edem Binka, Eric Griffiths, Reilly Hobbs, Aaron Eckhauser, Adil Husain, David Overman
Patients with many forms of congenital heart disease (CHD) and hypertrophic cardiomyopathy undergo surgical intervention to relieve left ventricular outflow tract obstruction (LVOTO). Cardiovascular Computed Tomography (CCT) defines the complex pathway from the ventricle to the outflow tract and can be visualized in 2D, 3D, and 4D (3D in motion) to help define the mechanism and physiologic significance of obstruction. Advanced cardiac visualization may aid in surgical planning to relieve obstruction in the left ventricular outflow tract, aortic or neo-aortic valve and the supravalvular space...
2024: Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
https://read.qxmd.com/read/38511240/successful-management-of-fatal-cardiac-tamponade-resulting-from-intravascular-intervention-for-central-vein-occlusion-in-hemodialysis-patients-a-case-report
#4
JOURNAL ARTICLE
Wenhui Lei, Weidong Huang, Jun Xin
This case report highlights the successful management of fatal cardiac tamponade caused by intravascular intervention for central vein occlusion in hemodialysis patients. Prompt diagnosis and treatment are essential for patient prognosis in such cases. We present a case involving a challenging surgical procedure to address multiple complications, emphasizing the importance of early detection and appropriate interventions. The patient, who had a history of long-term central venous catheter use for hemodialysis, was diagnosed with central vein stenosis in addition to superior vena cava occlusion, hemodialysis catheter rupture, hypertension, and end-stage renal disease...
March 21, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38505015/myocardial-protection-comparing-histological-effects-of-single-dose-cardioplegic-solutions-study-protocol-for-a-secondary-analysis-of-the-cardioplegia-trial
#5
JOURNAL ARTICLE
Kathize Betti Lira, Renan Senandes Delvaux, Felipe Abatti Spadini, Luis Henrique Hauschild, Rafael Oliveira Ceron, Fernando Anschau, Luciane Kopittke, Juarez Rode, Rafael Antônio Widholzer Rey, Estefania Inez Wittke, Alfeu Roberto Rombaldi, Eduardo Cambruzzi, Eron Rodrigues Cunha Lopes, Adriana Silveira Almeida
BACKGROUND: Myocardial protection is crucial for successful cardiac surgery, as it prevents heart muscle damage that can occur during the procedure. Prolonged hypoxia without proper protection can lead to adenosine triphosphate consumption, microvilli loss, blister formation, and edema. Custodiol, del Nido, and modified del Nido are single-dose cardioplegic solutions with proven safety and significance in modern surgery. While each has been independently assessed for patient outcomes, limited research directly compares them...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38505007/analysis-of-the-hemostatic-effect-of-preset-wrapping-technique-for-type-a-aortic-dissection-with-abnormal-coagulation
#6
JOURNAL ARTICLE
Zhixiang Cai, Tao Yan, Ben Zhang, Weida Zhang, Chenjie Su, Hanwei Chen, Xianyue Wang
BACKGROUND: There are many techniques to reduce anastomotic bleeding for the total arch replacement, but hemostasis is sometimes difficult to achieve after surgery for acute dissection, especially in patients with abnormal coagulation (AC). This study aimed to investigate the hemostatic effect and early efficacy of a pre-set bovine pericardium wrapper in the right heart system shunt for total arch replacement in patients with type A aortic dissection (TAAD) and preoperative AC. METHODS: A retrospective analysis was conducted on 85 patients with TAAD and AC who underwent total arch replacement between January 2018 and December 2022...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38504184/cannula-to-femoral-artery-diameter-ratio-predicts-potential-lower-limb-ischemia-in-minimally-invasive-cardiac-surgery-with-femoral-cannulation
#7
JOURNAL ARTICLE
Takuya Nishijima, Tomoki Ushijima, Yoshifumi Fuke, Meikun Kan-O, Satoshi Kimura, Hiromichi Sonoda, Akira Shiose
OBJECTIVE: Lower-limb ischemia is a complication of minimally invasive cardiac surgery with femoral cannulation. Herein, we verified our strategy using distal perfusion cannulation (DPC) against this complication. METHODS: We retrospectively assessed 91 cases of aortic valve replacement with femoral cannulation between January 2019 and March 2023. DPC was applied when lower-limb tissue oxygenation index declined by ≥20%. The cannula to femoral artery diameter ratio (C/FA) was calculated by dividing the cannula size (Fr) divided by 3 by the femoral artery inner diameter (mm)...
March 19, 2024: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/38499019/prophylactic-abdominal-drainage-after-distal-pancreatectomy-pandorina-an-international-multicentre-open-label-randomised-controlled-non-inferiority-trial
#8
JOURNAL ARTICLE
Eduard A van Bodegraven, Alberto Balduzzi, Tess M E van Ramshorst, Giuseppe Malleo, Frederique L Vissers, Jony van Hilst, Sebastiaan Festen, Mohammad Abu Hilal, Horacio J Asbun, Nynke Michiels, Bas Groot Koerkamp, Olivier R C Busch, Freek Daams, Misha D P Luyer, Marco Ramera, Giovanni Marchegiani, Joost M Klaase, I Quintus Molenaar, Matteo de Pastena, Gabriella Lionetto, Pier Giuseppe Vacca, Hjalmar C van Santvoort, Martijn W J Stommel, Daan J Lips, Mariëlle M E Coolsen, J Sven D Mieog, Roberto Salvia, Casper H J van Eijck, Marc G Besselink
BACKGROUND: Prophylactic passive abdominal drainage is standard practice after distal pancreatectomy. This approach aims to mitigate the consequences of postoperative pancreatic fistula (POPF) but its added value, especially in patients at low risk of POPF, is currently being debated. We aimed to assess the non-inferiority of a no-drain policy in patients after distal pancreatectomy. METHODS: In this international, multicentre, open-label, randomised controlled, non-inferiority trial, we recruited patients aged 18 years or older undergoing open or minimally invasive elective distal pancreatectomy for all indications in 12 centres in the Netherlands and Italy...
March 15, 2024: Lancet. Gastroenterology & Hepatology
https://read.qxmd.com/read/38495071/minimally-invasive-correction-of-failed-percutaneous-atrial-septal-closure-with-device-embolization
#9
Vlander Costa, Tulio Caldonazo, Paola Montanhesi, Johannes Fischer, Murat Mukharyamov, Hristo Kirov, Torsten Doenst
We present the case of a minimally invasive surgical correction for failed percutaneous atrial septal defect (ASD) closure in a 57-year-old female patient with residual ASD, tricuspid regurgitation, atrial fibrillation, and embolization of one of two occluders to the superior mesenteric artery. Our surgical approach consisted of anterolateral minithoracotomy, aortic and femoral vein cannulation, cryoablation, cardiac device removal, closure of ASD with autologous pericardium, and tricuspid repair. The procedure was uneventful and patient was discharged home on postoperative day 4...
January 2024: Thoracic and Cardiovascular Surgeon Reports
https://read.qxmd.com/read/38492559/pre-and-intra-operative-risk-factors-predict-postoperative-respiratory-failure-after-minimally-invasive-esophagectomy
#10
JOURNAL ARTICLE
Boyao Yu, Zhichao Liu, Long Zhang, Jie Pan, Chao Jiang, Chunguang Li, Zhigang Li
OBJECTIVES: Severe pulmonary complications such as postoperative respiratory failure can occur after minimally invasive oesophagectomy. However, the risk factors have not been well identified. This study aimed to develop a predictive model for the occurrence of postoperative respiratory failure with a large sample. METHODS: We collected data from patients with oesophageal cancer who received minimally invasive oesophagectomy at Shanghai Chest Hospital from 2019 to 2022...
March 16, 2024: European Journal of Cardio-thoracic Surgery
https://read.qxmd.com/read/38492067/short-term-outcomes-of-robot-assisted-versus-conventional-minimally-invasive-esophagectomy-for-esophageal-cancer-a-systematic-review-and-meta-analysis-of-18-187-patients
#11
REVIEW
Rui Perry, José Pedro Barbosa, Isabel Perry, José Barbosa
The role of robotic surgery in the curative-intent treatment of esophageal cancer patients is yet to be defined. To compare short-term outcomes between conventional minimally invasive (cMIE) and robot-assisted minimally invasive esophagectomy (RAMIE) in esophageal cancer patients. PubMed, Web of Science and Cochrane Library were systematically searched. The included studies compared short-term outcomes between cMIE and RAMIE. Individual risk of bias was calculated using the MINORS and RoB2 scales. There were no statistically significant differences between RAMIE and cMIE regarding conversion to open procedure, mean number of harvested lymph nodes in the mediastinum, abdomen and along the right recurrent laryngeal nerve (RLN), 30- and 90-day mortality rates, chyle leakage, RLN palsy as well as cardiac and infectious complication rates...
March 16, 2024: Journal of Robotic Surgery
https://read.qxmd.com/read/38487376/neo-adjuvant-methotrexate-to-aid-minimally-invasive-surgery-in-cervical-ectopic-pregnancy-a-case-report
#12
Matteo Di Carlofelice, Danica Vress
Cervical ectopic pregnancies account for <1% of ectopic pregnancies. Early diagnosis may reduce the morbidity and mortality associated with treatment. A 43-year-old woman, gravida 4 para 2, presented at 5 + 6 weeks of gestation of pregnancy via in vitro fertilisation with painless vaginal bleeding. Her initial serum β-hCG level was 51,495 mIU/mL. Ultrasound showed a live ectopic pregnancy within the upper cervical canal with no sliding sign. Surgery was avoided initially due to risk of haemorrhage...
March 2024: Case Reports in Women's Health
https://read.qxmd.com/read/38487081/efficacy-of-automated-fasteners-versus-hand-tied-knots-in-cardiac-surgery-a-systematic-review-and-meta-analysis
#13
REVIEW
Zoaib Habib Tharwani, Muhammad Abdul Qadeer, Ali Abdullah, Rubab Ali, Muhammad Ahmed Chaudhary, Shurjeel Uddin Qazi, Sameh M Said
Valve surgery is common in cardiac procedures, with fasteners like COR-KNOT® and hand-tied knots used for knot securing. This study compares their efficacy in valve surgery patients. We searched PubMed, SCOPUS, and Cochrane Central until August 2023. Outcomes assessed included aortic cross-clamp time (AXT), cardiopulmonary bypass (CPB) time, valvular regurgitation, mortality, prolonged ventilatory support, atrial fibrillation, postoperative left ventricular ejection fraction (LVEF), and renal failure. Subgroup analysis was performed for minimally invasive and open cardiac surgery...
2024: EXCLI Journal
https://read.qxmd.com/read/38486379/effect-of-oxygen-delivery-during-cardiopulmonary-bypass-on-postoperative-neurological-outcomes-in-patients-undergoing-cardiac-surgery-a-scoping-review-of-the-literature
#14
REVIEW
Abdelrahman Elsebaie, Ayesha Shakeel, Shetuan Zhang, Marianne Alarie, Mohamed El Tahan, Mohammad El-Diasty
BACKGROUND: Reduced oxygen delivery (DO2 ) during cardiopulmonary bypass (CPB) was proposed as a risk factor for the development of postoperative neurological complications (PONCs), including cerebrovascular accidents (CVA), delirium, and postoperative cognitive dysfunction (POCD). We aimed to review the current evidence on the association between intraoperative DO2 and the incidence of PONCs. METHODS: MEDLINE, Embase, the Cochrane Library, and Web of Science were electronically searched to identify comparative studies from inception until July 2023 that reported the association between intraoperative DO2 levels and the incidence of PONCs (as defined by the scales and diagnostic tools utilized by the studies' authors) in adults patients undergoing cardiac surgery using CPB...
March 14, 2024: Perfusion
https://read.qxmd.com/read/38479834/solitary-fibrous-tumours-of-the-pleura-do-we-need-a-different-perspective-on-malignancy
#15
JOURNAL ARTICLE
Niels Michael Dörr, Marcus Krüger, Miriam Möller, Norman Zinne, Mario Toennies, Olaf Schega, Christoph Ritter, Steffen Decker, Antje Hölsken, Wolfgang Schütte, Christian Biancosino
OBJECTIVES: Solitary fibrous tumours of the pleura (SFTP) are historically considered to be benign soft tissue neoplasms. However, a clinical relevant number of these neoplasms have malignant histological features. The objective of this study was to evaluate the percentage of SFTP presenting unfavorable clinical behaviour in order to predict negative long-term outcome. METHODS: A retrospective review of 74 patients treated at 4 hospitals between 1990 and 2013 was performed...
March 13, 2024: European Journal of Cardio-thoracic Surgery
https://read.qxmd.com/read/38468722/case-report-totally-endoscopic-minimally-invasive-mitral-valve-surgery-during-pregnancy-a-case-series
#16
Zhenzhong Wang, Lishan Zhong, Haijiang Guo, Yanli Liu, Chengbin Zhou, Yingxian Ye, Fengzhen Han, Huanlei Huang
A totally endoscopic minimally invasive approach is widely used for cardiac valve surgery in normal adults. However, minimally invasive cardiac surgery during pregnancy is rarely reported. In addition to traditional median thoracotomy, totally endoscopic minimally invasive approaches can now be used for pregnant patients. We describe our experience with totally endoscopic cardiac valve surgery (TECVS) during pregnancy, which is safe for both mothers and fetuses.
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38466481/successful-removal-of-an-intra-pericardic-kirschner-wire-via-fluoroscopy-guided-minimal-invasive-approach-a-case-report
#17
JOURNAL ARTICLE
Olivier Georges, Florence De Dominicis, Malek Ben Rahal, Jules Le Pessot, Pascal Berna, Osama Abou Arab, Christophe Beyls
BACKGROUND: Kirschner wires are widely used in trauma surgery. Their migration into the pericardium is a rare but often fatal phenomenon, requiring urgent management. CASE PRESENTATION: We describe the case of a 65-year-old patient who underwent Kirschner wire placement to treat a humeral head fracture. Three months after the operation, pleural and pericardial effusions with cardiac tamponade were observed, leading to the diagnosis of wire migration within the pericardium...
March 11, 2024: Surgical Case Reports
https://read.qxmd.com/read/38458155/comparing-clinical-outcomes-of-hybrid-coronary-revascularization-with-open-coronary-artery-bypass-in-patients-with-multi-vessels-lesions
#18
JOURNAL ARTICLE
Ji Lin, Guang Li, Yuan Ji, Yi Xu, Shuo Liu, Zheng Qu, Ping Li, Bin You
OBJECTIVES: Hybrid coronary revascularization (HCR) involves the use of minimally invasive direct coronary artery bypass grafting (CABG) to treat the left anterior descending artery (LAD), and percutaneous coronary intervention to treat non-LAD vessels. We reported the results of a comparative analysis between HCR and off-pump CABG via sternotomy (OPCABG). METHODS: Data were retrospectively collated from patients who underwent HCR or OPCABG for multivessel coronary artery disease between 2011 and 2022...
March 8, 2024: Perfusion
https://read.qxmd.com/read/38445653/fast-track-extubation-in-minimally-invasive-mitral-valve-surgery-moving-beyond-the-biases
#19
JOURNAL ARTICLE
Simon Higginbotham, Omar Almoghrabi, Todd C Crawford
No abstract text is available yet for this article.
March 5, 2024: European Journal of Cardio-thoracic Surgery
https://read.qxmd.com/read/38443251/comparative-analysis-of-robotically-assisted-versus-conventional-sternotomy-approach-in-left-atrial-myxoma-resection-a-single-center-retrospective-observational-study
#20
JOURNAL ARTICLE
Yanyi Liu, Shenglin Ge, Xin Li, Chenghao Lu, Chengxin Zhang, Zhuang Liu
BACKGROUND: Minimally invasive surgery has emerged as a favorable alternative to conventional surgery for various cardiac conditions. This study aimed to compare the perioperative outcomes and follow-up results of the robotic approach versus the sternotomy approach for left atrial myxoma (LAM) resection. METHOD: We retrospectively analyzed the perioperative outcomes and follow-up results of 94 patients who underwent left atrial myxoma resection using either the sternotomy approach (n = 64) or the robotic approach (n = 30) at our center between January 2017 and April 2023...
March 4, 2024: Asian Journal of Surgery
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